title: Population ecology and the racial integration of hospitals and nursing homes in the United States.
abstract: Although the passage of major civil-rights legislation in the 1960s compelled American hospitals to take concerted steps to achieve racial integration, nursing homes did not come under the same organizational and financial pressures to do so. As a result, nursing homes remained significantly segregated; to this day, there is a greater discrepancy between black and white people's access to long-term-care facilities than to acute-care hospitals. The perspective of population ecology may be used to help account for these disparate historical outcomes; economics, demographics, and more subtle patterns of discrimination continue to reinforce forms of segregation in health-care facilities.
authors.affiliation: Department of Health Administration, Temple University, Philadelphia, PA 19122.
authors.forename: D B
authors.initials: DB
authors.lastname: Smith
mesh_terms: D001741:Black or African American; D002391:Catchment Area, Health; D002961:Civil Rights / Q000331:legislation & jurisprudence; D049673:History, 20th Century; D006739:Hospital Administration / Q000266:history* / Q000331:legislation & jurisprudence; D006801:Humans; D008504:Medical Staff Privileges; D009735:Nursing Homes / Q000266:history* / Q000331:legislation & jurisprudence; D009936:Organizational Innovation; D011157:Population Dynamics; D011287:Prejudice; D011822:Race Relations; D014481:United States; D044465:White People